By Leila Turet

When we hear the term “OCD,” we might imagine someone who keeps their space impossibly clean, washes their hands often, and must have items organized a certain way. While OCD, which stands for Obsessive-Compulsive Disorder, might sometimes look that way from the outside, the actual diagnosis is more complex. Learning about the reality of OCD can help us talk about it more accurately, and reduce the social harm of misusing diagnostic terms.
OCD Diagnosis
As its name suggests, Obsessive-Compulsive Disorder (OCD) is primarily characterized by obsessions and compulsions, though the presence and type of symptoms can look very different for different people. The DSM-V, the manual used for psychological diagnosis in North America, defines OCD as a combination of criteria, including:
- Obsessions: Persistent intrusive and distressing thoughts, which the individual attempts to suppress/neutralize through other thoughts or actions
- Compulsions: Behaviors or mental acts repeated according to mental rules in an attempt to neutralize distress, despite not being realistically connected to the distressing stimulus
- Further distress or interference with regular social functioning, caused by obsessions/compulsions
So, while extreme cleanliness might be a symptom of OCD for some people, a full diagnosis is really about the bigger picture: is the fear of germs unrealistic and the constant cleaning ineffective, or is it connected to a real threat of illness and realistic cleaning habits? Do these habits take up so much time or focus that they impede regular functioning? If there is any other rational explanation for the behavior, it’s probably not OCD – and calling it OCD can be harmful for a multitude of reasons.
The Harm in Using Terms Casually
Each time a term is said, it contributes to a socially accepted definition of that term. When someone who simply likes to stay organized says “I’m so OCD”, they send the message that OCD is a casual term used to self-effacingly describe a normal desire for cleanliness. This creates multiple issues, with OCD portrayed as: 1) a commonplace occurrence rather than a serious diagnosis, 2) something to be ashamed of, 3) something to be joked about, and 4) an inconvenience to those around the person. Furthermore, due to this mischaracterization and association with smaller-scale cleanliness habits, when someone who actually has OCD shares their experience, others might believe that they are exaggerating their symptoms due to the misunderstanding of what OCD actually means. Next time you hear someone say, “I’m so OCD,” when they actually mean, “I have routines for cleaning,” remind them of the harm their words can carry, and how important it is to be honest and accurate when using mental health terminology.
Sources:
Stein, D. J., Reghunandanan, S., & Fineberg, N. (2015). Obsessive-compulsive and related disorders, in Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Arlington, VA, American Psychiatric Association, 2013. If you or someone you know may be struggling with OCD, loneliness, or their mental health, please contact our psychotherapy offices in New York or New Jersey to talk to one of our licensed professional psychologists, psychiatrists, psychiatric nurse practitioners, or psychotherapists at Arista Counseling & Psychotherapy. Contact our Paramus, NJ or Manhattan, NY offices respectively, at (201) 368-3700 or (212) 722-1920 to set up an appointment. For more information, please visit https://aristapsychiatrypsychotherapy.com/









